Eric L. Wyatt, MD, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

19537 Issued in OK

Legal business name

ERIC L. WYATT, MD, PC

Practice address

3400 NW Expressway
Suite 440
Oklahoma City, OK 73112-4493

Phone

(405) 945-4250

Fax

(405) 945-4729

NPI assigned

Aug 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eric L Wyatt, M.D.NPI 1417007139

Title

Preident

Phone

(405) 945-4250

Specialties & licenses 1

Addresses

Other names 1

• Advanced Dermatology Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Wyatt, MD

  • Procedural Dermatology Physician
  • Lawton, OK
  • NPI 1417007139
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1437342409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 NW EXPRESSWAY",
            "address_2": "SUITE 440",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124493",
            "telephone_number": "405-945-4250",
            "fax_number": "405-945-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 NW EXPRESSWAY",
            "address_2": "SUITE 440",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124493",
            "telephone_number": "405-945-4250",
            "fax_number": "405-945-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC L. WYATT, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PREIDENT",
        "authorized_official_telephone_number": "405-945-4250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "19537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dermatology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Equality Health Group LLC
• Equip to Flourish Counseling & Consulting, LLC
• ER Nursing, LLC
• Amber Nicole Erben, APRN-CNS
• Oghenewaire Elohor Erhurhu, MD
• Eric N Eakers DDS a P C
• Erica Black-Hooks, M.a, LPC, PLLC
• Jason Erickson
• Kelly Masterson Erickson, MD
• Kolton Kevin Erickson, DMD

• Specialist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.